ProPublica

Journalism in the Public Interest

Cancel

Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $532 per patient in 2012.
They performed about 30 services per patient. Here’s how this provider compares.
Number of
Patients
663
Rank: 1st
out of 17 providers in this state & specialty
Services
Performed
2,683
Rank: 8th
out of 17 providers in this state & specialty
Avg Services
Per Patient
4 This Provider
Avg 30.3
Total Paid
by Medicare
$157K
Rank: 8th
out of 17 providers in this state & specialty
Avg Paid
Per Patient
$237 This Provider
Avg $532

Office Visits

Story image rib

Top Billing

Related story »

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Roger G. Santala
Average for Hematology/Oncology Providers in Montana

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

JEFFRY LINDENBAUM

GEORGE KNIGHT

RONALD DARBY

DEAN BRUSCHWEIN

BRUCE PINKERTON

Organizations

BILLINGS CLINIC

MERCY MEDICAL CENTER

Patients saw before

Roger G. Santala

Patients saw after

Individuals

JEFFRY LINDENBAUM

RONALD DARBY

DEAN BRUSCHWEIN

JORGE NIEVA

KATHRYN WAITMAN

Organizations

BILLINGS CLINIC

MERCY MEDICAL CENTER

This Provider's Services

This provider performed 13 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in a facility
646
times performed,
24% of his services

1st 9th

most performed service for this provider most performed service in this state & specialty

223
patients got this service, 34% of his patients
2.9
average number of visits a patient made for this service
(Peers: 3)
$55,556an average of $86 per time performed $37,468
an average of $58 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in a facility
382
times performed,
14% of his services

2nd 13th

most performed service for this provider most performed service in this state & specialty

234
patients got this service, 35% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$21,774an average of $57 per time performed $13,370
an average of $35 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
353
times performed,
13% of his services

3rd 11th

most performed service for this provider most performed service in this state & specialty

204
patients got this service, 31% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.1)
$40,948an average of $116 per time performed $16,944
an average of $48 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
325
times performed,
12% of his services

4th 8th

most performed service for this provider most performed service in this state & specialty

101
patients got this service, 15% of his patients
3.2
average number of visits a patient made for this service
(Peers: 3.4)
$56,225an average of $173 per time performed $25,675
an average of $79 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
317
times performed,
12% of his services

5th 25th

most performed service for this provider most performed service in this state & specialty

64
patients got this service, 10% of his patients
4.7
average number of visits a patient made for this service
(Peers: 3)
$65,936an average of $208 per time performed $25,043
an average of $79 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
120
times performed,
4% of his services

6th 12th

most performed service for this provider most performed service in this state & specialty

43
patients got this service, 6% of his patients
2.8
average number of visits a patient made for this service
(Peers: 3.6)
$6,000an average of $50 per time performed $1,800
an average of $15 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
115
times performed,
4% of his services

7th 28th

most performed service for this provider most performed service in this state & specialty

43
patients got this service, 6% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2)
$16,215an average of $141 per time performed $6,325
an average of $55 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
104
times performed,
4% of his services

8th 16th

most performed service for this provider most performed service in this state & specialty

37
patients got this service, 6% of his patients
2.8
average number of visits a patient made for this service
(Peers: 3.7)
$4,264an average of $41 per time performed $1,144
an average of $11 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
70
times performed,
3% of his services

9th 43rd

most performed service for this provider most performed service in this state & specialty

61
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$23,310an average of $333 per time performed $10,710
an average of $153 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in a facility
67
times performed,
2% of his services

10th 39th

most performed service for this provider most performed service in this state & specialty

67
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,008an average of $224 per time performed $8,442
an average of $126 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
51
times performed,
2% of his services

11th Alert

most performed service for this provider 5 or fewer providers in this specialty in MT perform this service

44
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
$7,599an average of $149 per time performed $2,805
an average of $55 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
41
times performed,
2% of his services

12th 46th

most performed service for this provider most performed service in this state & specialty

41
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,694an average of $334 per time performed $6,191
an average of $151 per time performed
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
29
times performed,
1% of his services

13th 14th

most performed service for this provider most performed service in this state & specialty

20
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 3.2)
$377an average of $13 per time performed $87
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85027
Performed in an office
29
times performed,
1% of his services

14th 18th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 3.1)
$1,015an average of $35 per time performed $261
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Microscopic examination for white blood cells with manual... +

Microscopic examination for white blood cells with manual cell count ×

Service Code: 85007
Performed in an office
23
times performed,
0.86% of his services

15th 20th

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 3.1)
$437an average of $19 per time performed $115
an average of $5 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in a facility
11
times performed,
0.41% of his services

16th Alert

most performed service for this provider 5 or fewer providers in this specialty in MT perform this service

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$1,815an average of $165 per time performed $979
an average of $89 per time performed

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Notes: This provider has a self-reported specialty of "Hematology & Oncology." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.